81CA*t* WTC Visual Survey Form 10?~t ZO,R
k Premise Address:
$~ — 41~ .,L 1/~ A> 6 7/ fed - S -
Block: Residential D CommercialD Name of Building:
Lot: Mix Use J J Other
# of Stores: AKA's: c_ 1 c _
Building Owner/Management: Telephone Number. ( )
Name: FAX:
Address:
On Site Contact
Name: " ' Telephone Number:
Building Owner Management Activities
Interior Survey Performed ❑ Yes ❑ No
Exterior Survey Performed ❑ Yes ❑ No
General Clean Up ❑ Yes ❑ No Locations:
ACM Clean Up ❑ Yes ❑ No Locations:
Air Monitoring ❑ Yes ❑ No Locations:
Copies of All Reports and Data Requested Yes
visual Inspection Results:
Facade:
Inspected Debris
North ❑ N/A ®'Yes ❑ No ❑ No Visible/Fine Layer ❑34to1" 0>1"
South ❑ N/A 'Yes ❑ No ❑ No Visible/Fine Layer ❑'%%tol" 0>1"
East ZN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 2to1' 0>1"
West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ElY: to 1" ❑ > 1"
Facade Description:
Roof
Debris: allo Visible r ❑Vto1" 0>1"
Description:
Setbacks N/A m
Floor. Debris: ❑ No Visible/Fine Layer ❑ 2 to 1" 0>1"
Floor. Debris: 0 No Visible/Fine Layer ❑ 34 to 1' ❑ > 1"
Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1
Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1"
Department of Environmental Protection inspection form for WTC-area building documenting facade condition, asbestos, and other environmental hazard assessments.
NYC DEP letter requesting building owners to submit hazardous material assessments and cleanup records for 87 Chambers Street following the World Trade Center collapse.